The American Heart Association (AHA) and European Society of Cardiology (ESC) suggest surgical pulmonary embolectomy is advised in hemodynamic instability or failed \ Contraindicated to fibrinolytic therapy, Clot-in-transit, Large patent foramen ovale, or Moderate-to-severe right ventricular dysfunction (8). On the other finding of an atrial thrombus our patient had; consensus is less clear (9). After a through & careful consideration of the low risk profile of our patient in addition to the pulmonary embolism she had, we believe that surgical option was inevitable & carried a favorable outcome & prognosis.